Vehicle Inspection Form

This inspection is for: Assessing the general condition and appearance of the vehicle. This is not a mechanical inspection and will not determine if the vehicle is roadworthy or free of defects.

Disclaimer: This inspection report is not a guarantee or warranty of the vehicle's condition. It is a visual inspection only and should not be relied upon as a substitute for a comprehensive mechanical inspection by a qualified professional.

When you submit this form, it will not automatically collect your details, such as name and email address, unless you provide them yourself.

Mandatory: By completing and signing this vehicle inspection form, the driver acknowledges the documented condition of the vehicle at the time of handover. This form is used for internal accountability purposes and serves as a record of any existing damage or issues prior to vehicle use. The driver assumes responsibility for the vehicle while in their possession and agrees to report any incidents, damage, or concerns immediately. Failure to report issues in a timely manner may result in the driver being held responsible for unreported damage.

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Inspection Information

1. Date of Inspection *

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Vehicle Information

2. Manager's Name *

—Please choose an option—Kenneth Chip SmithNorma Rodriguez

3. Vehicle # *

4. License Plate *

5. Driver name *

6. Delivery hub location *

—Please choose an option—Bonita Springs (BON)Daytona (DAY)Deerfield Beach (DRF)Miami South Beach (MSB)East Orlando (EOR)Port Charlotte (PTC)WPB Okeechobee (WPM)Brandon (BRN)Jacksonville San Jose (SNJ)Spring Hill (SPH)Pensacola 2 (PML)Pensacola (PEN)Panama City (PAN)Palm Harbor (PMH)Ft. Pierce (FTP)Ft. Pierce (FTP)Ocala (OCA)Homestead (HSD)Mt. Dora (MTD)

7. Starting Mileage *

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Driver Safety Checklist

Check the box that applies **OK** or **NR** (Needs Repaired). All marked **NR** requires a comment at bottom of form. Please report deviations immediately.

8. Check service and emergency brakes *

—Please choose an option—OKNR (Needs Repaired)

9. Check seat belts *

—Please choose an option—OKNR (Needs Repaired)

10. Check horn *

—Please choose an option—OKNR (Needs Repaired)

11. Check windshield wipers/washers *

—Please choose an option—OKNR (Needs Repaired)

12. Check all lighting, headlights, turn signals, interior lights, devices, and reflectors *

—Please choose an option—OKNR (Needs Repaired)

13. Check rear-view and side mirrors *

—Please choose an option—OKNR (Needs Repaired)

14. Check steering *

—Please choose an option—OKNR (Needs Repaired)

15. Check emergency equipment *Check all that apply and are in proper working conditions.

Fire ExtinguisherRoadside Safety KitFirst Aid Kit

16. Check vehicle body *

—Please choose an option—OKNR (Needs Repaired)

17. Check tow connector if applicable *

—Please choose an option—OKNR (Needs Repaired)N/A

18. Check cargo compartment door lock(s) *

—Please choose an option—OKNR (Needs Repaired)

19. Check vehicle fluid levels *All must be checked off before operating vehicle.

FuelOilCoolantBrake FluidWindshield Wiper Fluid

20. Check DEF level on diesel engines *

—Please choose an option—OKNR (Needs Repaired)N/A

21. Cargo area swept and clean. Storage bins cleaned. *Must always be clean!

—Please choose an option—YesNo

22. Check all required documentation *All must be checked prior to operating vehicle.

Driver's LicenseManifestsInsurance InformationVehicle Registration

23. Check tires condition, pressure and rims *Must check all tires prior to opperating vehicle

Driver Side TirePassenger Side TireRear Left TireRear Right TireSpare Tire (If applicable)

24. Check list inspection *Check all that apply

Front BumperRear BumperHoodWindshieldLeft Front FenderRight Front FenderDriver Side Front WindowDriver Side Rear WindowPassenger Side Front WindowPassenger Side Rear WindowRear Windshield (Back Glass)Driver DoorPassenger DoorRoof PanelLeft SideRight SideLeft Quarter PanelRight Quarter PanelRear Left Door Panel20 Rear Right Door PanelLeft Front WheelRight Front WheelLeft Rear WheelRight Rear WheelLift GateRoll-Up Door

25. Notes